1. Note: PCMH = patient-centered medical home; APCP = advanced primary care practice. Source: The Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers. Exhibit 1. Providers’ Views Are Mixed on Impact of Medical Homes, with Those Working in Medical Homes More Positive Among those in PCMH/APCP All Physicians Nurse practitioners/Physician assistants Among those in PCMH/APCP All Do you think the increased use of medical homes is having a positive, negative, or no impact on primary care providers’ ability to provide quality care to their patients? Among those not in PCMH/APCP

2. Note: The number of NPs/PAs in ACOs is too small to analyze. Source: The Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers. Exhibit 2. Views on the Impact of Accountable Care Organizations Are Mixed, with Many Providers Unsure Among those in ACOs All Physicians Nurse practitioners/Physician assistants All Do you think the increased use of accountable care organizations (ACOs) is having a positive, negative, or no impact on primary care providers’ ability to provide quality care to their patients? Among those not in ACOs

3. Source: The Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers. Exhibit 3. Providers Are Largely Negative About Increased Use of Quality Metrics to Assess Provider Performance Among those receiving incentive payments based on quality of care All Physicians Nurse practitioners/Physician assistants All Do you think the increased use of quality metrics to assess provider performance is having a positive, negative, or no impact on primary care providers’ ability to provide quality care to their patients? Among those receiving incentive payments based on quality of care Among those not receiving such incentive payments

4. Source: The Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers. Exhibit 4. Physician Views Are More Negative Than Positive on Increased Reliance on Nurse Practitioners and Physician Assistants Physicians Nurse practitioners/Physician assistants Do you think the increased reliance on nonphysician clinicians such as nurse practitioners (NPs) and physician assistants (PAs) is having a positive, negative, or no impact on primary care providers’ ability to provide quality care to their patients? Among those with any NP/PA in practice Among those with no NP/PAs in practice All

5. Source: The Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers. Exhibit 5. Nurse Practitioners and Physician Assistants Are More Satisfied Than Physicians with Collaboration How satisfied are you with the level of collaboration with other team members in your medical practice? Physicians Nurse practitioners/Physician assistants Among those with NP/PAs in practice Among those with no NP/PAs in practice All

6. Note: For questions on Medicaid, base is among physicians who accept Medicaid; for questions on Medicare, base is among physicians who accept Medicare; for questions on private insurance, base is among physicians accepting private insurance. Source: The Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers. Exhibit 6. Physicians Are More Satisfied with Private Insurers Than Medicare and Medicaid on Payment and Administrative Burden Among physicians: In general, how would you rate public and private insurers when it comes to each of the following? Medicare Medicaid How much you are paid Ease of administration related to reimbursements Private Medicaid Medicare Private

7. Source: The Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers. Exhibit 7. Nearly Half of Primary Care Physicians Say Health Care Trends Are Causing Them to Consider Early Retirement Physicians Nurse practitioners/ Physician assistants Would you say recent trends in health care are... Causing you to consider retiring earlier than you thought you would? Causing you to delay your retirement plans? Not having an impact on your retirement plans?